Profile Comparison between http://hl7.org/fhir/uv/ips/StructureDefinition/DiagnosticReport-uv-ips vs http://hl7.eu/fhir/base-r5/StructureDefinition/diagnosticReport-eu-core

Left:DiagnosticReport (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/DiagnosticReport-uv-ips)
Right:DiagnosticReport (EU core) (http://hl7.eu/fhir/base-r5/StructureDefinition/diagnosticReport-eu-core)

Messages

ErrorStructureDefinition.urlValues for url differ: 'http://hl7.org/fhir/uv/ips/StructureDefinition/DiagnosticReport-uv-ips' vs 'http://hl7.eu/fhir/base-r5/StructureDefinition/diagnosticReport-eu-core'
ErrorStructureDefinition.versionValues for version differ: '2.0.0' vs '2.0.0-ballot'
InformationStructureDefinition.nameValues for name differ: 'DiagnosticReportUvIps' vs 'DiagnosticReportEuCore'
InformationStructureDefinition.titleValues for title differ: 'DiagnosticReport (IPS)' vs 'DiagnosticReport (EU core)'
InformationStructureDefinition.dateValues for date differ: '2024-06-19T10:50:07-05:00' vs '2025-12-22T08:19:43+00:00'
InformationStructureDefinition.publisherValues for publisher differ: 'HL7 International / Patient Care' vs 'HL7 Europe'
InformationStructureDefinition.jurisdictionRemoved the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#001'
InformationStructureDefinition.jurisdictionAdded the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#150'
WarningStructureDefinition.fhirVersionValues for fhirVersion differ: '4.0.1' vs '5.0.0'
InformationStructureDefinition.shortValues for short differ: 'A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports' vs 'Diagnostic Report EU core'
InformationStructureDefinition.definitionValues for definition differ: 'The findings and interpretation of diagnostic tests performed on patients, groups of patients, devices, and locations, and/or specimens derived from these. The report includes clinical context such as requesting and provider information, and some mix of atomic results, images, textual and coded interpretations, and formatted representation of diagnostic reports.' vs 'Diagnostic Report EU core'
InformationStructureDefinition.commentValues for comment differ: 'The only time that a resource does not have an id is when it is being submitted to the server using a create operation.' vs 'Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.'
InformationStructureDefinition.commentValues for comment differ: 'Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.' vs 'Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc.'
InformationStructureDefinition.commentValues for comment differ: 'Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a 'text blob' or where text is additionally entered raw or narrated and encoded information is added later.' vs 'Contained resources do not have a narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a 'text blob' or where text is additionally entered raw or narrated and encoded information is added later.'
InformationStructureDefinition.definitionValues for definition differ: 'These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.' vs 'These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.'
InformationStructureDefinition.commentValues for comment differ: 'This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.' vs 'This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels.'
InformationStructureDefinition.shortValues for short differ: 'Additional content defined by implementations' vs 'Extension'
InformationStructureDefinition.definitionValues for definition differ: 'May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.' vs 'An Extension'
InformationStructureDefinition.definitionValues for definition differ: 'May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).' vs 'May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).'
InformationStructureDefinition.requirementsValues for requirements differ: 'Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).' vs 'Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R5/extensibility.html#modifierExtension).'
InformationStructureDefinition.commentValues for comment differ: 'Usually assigned by the Information System of the diagnostic service provider (filler id).' vs 'Usually assigned by the Information System of the diagnostic service provider for facilitating the Report search. The order id can be used as one of the Report identifier if only one report is produced for that order.'
ErrorDiagnosticReport.basedOnType Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/CarePlan|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/MedicationRequest|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/NutritionOrder|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/ServiceRequest|4.0.1]]) vs Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/ServiceRequest]])
InformationStructureDefinition.shortValues for short differ: 'registered | partial | preliminary | final +' vs 'Status of the Report'
InformationStructureDefinition.shortValues for short differ: 'Name/Code for this diagnostic report' vs 'Type of Diagnostic Report'
InformationStructureDefinition.definitionValues for definition differ: 'A code or name that describes this diagnostic report.' vs 'Defines the document type, it is recommended to take this from the suggested LOINC set.'
WarningDiagnosticReport.codeElements differ in definition for mustSupport: 'true' vs 'false'
InformationDiagnosticReport.codeExample/preferred bindings differ at DiagnosticReport.code using binding from DiagnosticReportUvIps
InformationStructureDefinition.shortValues for short differ: 'The subject of the report - usually, but not always, the patient' vs 'Who and/or what this report is about'
InformationStructureDefinition.definitionValues for definition differ: 'The subject of the report. Usually, but not always, this is a patient. However, diagnostic services also perform analyses on specimens collected from a variety of other sources.' vs 'Who or what this report is about. The report can be about a human patient, a living subject, a device (e.g. a machine), a location or even a group of subjects (such as a document about a herd of livestock, or a set of patients that share a common exposure).'
WarningDiagnosticReport.subjectElements differ in definition for mustSupport: 'true' vs 'false'
InformationStructureDefinition.shortValues for short differ: 'Health care event when test ordered' vs 'The healthcare event which this Diagnostic Report is about (when test ordered).'
InformationStructureDefinition.definitionValues for definition differ: 'The healthcare event (e.g. a patient and healthcare provider interaction) which this DiagnosticReport is about.' vs 'The healthcare event (e.g. a patient and healthcare provider interaction) which this DiagnosticReport is about.'
InformationStructureDefinition.commentValues for comment differ: 'This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission laboratory tests).' vs 'This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission laboratory tests).'
InformationStructureDefinition.shortValues for short differ: 'Clinically relevant time/time-period for report' vs 'Clinically relevant time/time-period for report.'
WarningDiagnosticReport.effective[x]Elements differ in definition for mustSupport: 'true' vs 'false'
InformationDiagnosticReport.effective[x]Element minimum cardinalities differ: '1' vs '0'
InformationStructureDefinition.shortValues for short differ: 'Responsible Diagnostic Service' vs 'Responsible Diagnostic Service.'
InformationStructureDefinition.commentValues for comment differ: 'This is not necessarily the source of the atomic data items or the entity that interpreted the results. It is the entity that takes responsibility for the clinical report.' vs 'If a DiagnosticReport.resultsInterpreter exists this is expected to be a Composition.author; otherwise a DiagnosticReport.performer should be an author.'
WarningDiagnosticReport.performerElements differ in definition for mustSupport: 'true' vs 'false'
InformationStructureDefinition.commentValues for comment differ: 'Might not be the same entity that takes responsibility for the clinical report.' vs 'If a DiagnosticReport.resultsInterpreter exists this is expected to be a Composition.author; otherwise a DiagnosticReport.performer should be an author.'
InformationStructureDefinition.shortValues for short differ: 'Specimens this report is based on' vs 'Specimens this report is based on.'
InformationStructureDefinition.shortValues for short differ: 'Observation results included in the diagnostic report.' vs 'results'
InformationStructureDefinition.definitionValues for definition differ: 'Observation results included in the diagnostic report.' vs '[Observations](http://hl7.org/fhir/R5/observation.html) that are part of this diagnostic report.'
InformationStructureDefinition.shortValues for short differ: 'Key images associated with this report' vs 'Additional data (like images, diagrams or documents) associated with this report'
InformationStructureDefinition.definitionValues for definition differ: 'A list of key images associated with this report. The images are generally created during the diagnostic process, and may be directly of the patient, or of treated specimens (i.e. slides of interest).' vs 'A list of additional data, other then presented form of the report, associated with this report. This data is generally created during the diagnostic process, and may be directly of the patient, or of treated specimens (i.e. slides of interest).'
InformationStructureDefinition.requirementsValues for requirements differ: 'Many diagnostic services include images in the report as part of their service.' vs 'Some diagnostic reports may include additional data such as images, diagrams or documents that are relevant to the report. This additional information can provide further context and support for the findings presented in the report.'
InformationStructureDefinition.definitionValues for definition differ: 'May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.' vs 'May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.'
InformationStructureDefinition.definitionValues for definition differ: 'May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).' vs 'May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).'
InformationStructureDefinition.requirementsValues for requirements differ: 'Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).' vs 'Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R5/extensibility.html#modifierExtension).'
InformationStructureDefinition.shortValues for short differ: 'Comment about the image (e.g. explanation)' vs 'Comment about the image or data (e.g. explanation)'
InformationStructureDefinition.definitionValues for definition differ: 'A comment about the image. Typically, this is used to provide an explanation for why the image is included, or to draw the viewer's attention to important features.' vs 'Allows for a comment about the image or data, such as an explanation of its significance or context within the diagnostic report.'
InformationStructureDefinition.commentValues for comment differ: 'The comment should be displayed with the image. It would be common for the report to include additional discussion of the image contents in other sections such as the conclusion.' vs 'The comment should be displayed with the image or data. It would be common for the report to include additional discussion of the image or data contents or in other sections such as the conclusion.'
InformationStructureDefinition.requirementsValues for requirements differ: 'The provider of the report should make a comment about each image included in the report.' vs 'The provider of the report should make a comment about each image or data included in the report. This comment can provide valuable context and help the reader understand the significance of the image or data in relation to the overall findings of the report.'
InformationStructureDefinition.shortValues for short differ: 'Reference to the image source' vs 'Reference to the image or data'
InformationStructureDefinition.definitionValues for definition differ: 'Reference to the image source.' vs 'A reference to the image or data associated with this report.'
ErrorDiagnosticReport.media.linkType Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/Media|4.0.1]]) vs Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/DocumentReference|5.0.0]])
InformationStructureDefinition.shortValues for short differ: 'Entire report as issued' vs 'Entire report as issued (pdf recommended)'

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/fhir/StructureDefinition/DiagnosticReport
      .copyrightCopyright HL7 Europe. Licensed under creative commons public domain (CC0 1.0).
      • Added the item 'Copyright HL7 Europe. Licensed under creative commons public domain (CC0 1.0).'
      .date2024-06-19T10:50:07-05:002025-12-22T08:19:43+00:00
      • Values Differ
      .descriptionThis profile constrains the DiagnosticReport resource to represent diagnostic test and procedure reports in a patient summary.This profile sets minimum expectations for the DiagnosticReport resource for commonly used EHDS documents.
      • Values Differ
      .experimentalfalse
      • Removed the item 'false'
      .fhirVersion4.0.15.0.0
      • Values Differ
      .jurisdiction
        ..jurisdiction[0]http://unstats.un.org/unsd/methods/m49/m49.htm#001
        • Removed the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#001'
        ..jurisdiction[1]http://unstats.un.org/unsd/methods/m49/m49.htm#150
        • Added the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#150'
        .kindresource
          .nameDiagnosticReportUvIpsDiagnosticReportEuCore
          • Values Differ
          .publisherHL7 International / Patient CareHL7 Europe
          • Values Differ
          .purposeThis profile constrains the DiagnosticReport resource to use the specific IPS profiles for observations and coded data types.
          • Removed the item 'This profile constrains the DiagnosticReport resource to use the specific IPS profiles for observations and coded data types.'
          .statusactive
            .titleDiagnosticReport (IPS)DiagnosticReport (EU core)
            • Values Differ
            .typeDiagnosticReport
              .urlhttp://hl7.org/fhir/uv/ips/StructureDefinition/DiagnosticReport-uv-ipshttp://hl7.eu/fhir/base-r5/StructureDefinition/diagnosticReport-eu-core
              • Values Differ
              .version2.0.02.0.0-ballot
              • Values Differ

              Structure

              NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.R TypeR Description & ConstraintsCommentsdoco
              .. DiagnosticReport 0..*DiagnosticReportA Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
              C0..*DiagnosticReportDiagnostic Report EU core
                ... id Σ0..1idLogical id of this artifactΣ0..1idLogical id of this artifact
                  ... meta Σ0..1MetaMetadata about the resourceΣ0..1MetaMetadata about the resource
                    ... implicitRules ?!Σ0..1uriA set of rules under which this content was created?!Σ0..1uriA set of rules under which this content was created
                      ... language 0..1codeLanguage of the resource content
                      Binding: ?? (preferred): A human language.
                      Additional BindingsPurpose
                      ??Max Binding
                      0..1codeLanguage of the resource content
                      Binding: ?? (required): IETF language tag for a human language
                      Additional BindingsPurpose
                      ??Starter
                        ... text 0..1NarrativeText summary of the resource, for human interpretation
                        This profile does not constrain the narrative in regard to content, language, or traceability to data elements
                        0..1NarrativeText summary of the resource, for human interpretation
                        This profile does not constrain the narrative in regard to content, language, or traceability to data elements
                          ... contained 0..*ResourceContained, inline Resources
                          0..*ResourceContained, inline Resources
                            ... extension 0..*ExtensionAdditional content defined by implementations
                            0..*ExtensionExtension
                            Slice: Unordered, Open by value:url
                              ... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
                              ?!Σ0..*ExtensionExtensions that cannot be ignored
                                ... identifier Σ0..*IdentifierBusiness identifier for report
                                Σ0..*IdentifierBusiness identifier for report
                                  ... basedOn 0..*Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)What was requested
                                  0..*Reference(ServiceRequest)What was requested
                                  • Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/CarePlan|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/MedicationRequest|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/NutritionOrder|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/ServiceRequest|4.0.1]]) vs Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/ServiceRequest]])
                                  ... status ?!Σ1..1coderegistered | partial | preliminary | final +
                                  Binding: ?? (required)
                                  ?!Σ1..1codeStatus of the Report
                                  Binding: ?? (required): The status of the diagnostic report.
                                    ... category Σ0..*CodeableConceptService category
                                    Binding: ?? (example): Codes for diagnostic service sections.
                                    Σ0..*CodeableConceptService category
                                    Slice: Unordered, Open by value:$this
                                    Binding: ?? (example): HL7 V2 table 0074
                                      ... code SOΣ1..1??Name/Code for this diagnostic report
                                      Binding: ?? (preferred): Codes that describe Diagnostic Reports.
                                      ObligationsActor
                                      SHALL:populate-if-knownCreator (IPS)
                                      SHALL:handleConsumer (IPS)
                                      SHOULD:displayConsumer (IPS)
                                      Σ1..1CodeableConceptType of Diagnostic Report
                                      Binding: ?? (preferred): LOINC Codes for Diagnostic Reports
                                      • Elements differ in definition for mustSupport: 'true' vs 'false'
                                      • Example/preferred bindings differ at DiagnosticReport.code using binding from DiagnosticReportUvIps
                                      ... subject SOΣ1..1Reference(Patient (IPS) | Group)The subject of the report - usually, but not always, the patient
                                      ObligationsActor
                                      SHALL:populate-if-knownCreator (IPS)
                                      SHALL:handleConsumer (IPS)
                                      SHOULD:displayConsumer (IPS)
                                      Σ1..1Reference(Patient (EU core) | Patient: Animal (EU core) | Group | Location | Device)Who and/or what this report is about
                                      • Elements differ in definition for mustSupport: 'true' vs 'false'
                                      .... id 0..1stringUnique id for inter-element referencing
                                      • Removed this element
                                      .... Slices for extension 0..*ExtensionAdditional content defined by implementations
                                      Slice: Unordered, Open by value:url
                                      • Removed this element
                                      .... reference SOΣC1..1stringLiteral reference, Relative, internal or absolute URL
                                      ObligationsActor
                                      SHALL:populate-if-knownCreator (IPS)
                                      SHALL:handleConsumer (IPS)
                                      • Removed this element
                                      .... type Σ0..1uriType the reference refers to (e.g. "Patient")
                                      Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).
                                      • Removed this element
                                      .... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
                                      • Removed this element
                                      .... display Σ0..1stringText alternative for the resource
                                      • Removed this element
                                      ... encounter Σ0..1Reference(Encounter)Health care event when test orderedΣ0..1Reference(Encounter)The healthcare event which this Diagnostic Report is about (when test ordered).
                                        ... Slices for effective[x] SOΣ1..1dateTime, PeriodClinically relevant time/time-period for report
                                        Slice: Unordered, Open by type:$this
                                        ObligationsActor
                                        SHALL:populate-if-knownCreator (IPS)
                                        SHALL:handleConsumer (IPS)
                                        SHOULD:displayConsumer (IPS)
                                        Σ0..1dateTime, PeriodClinically relevant time/time-period for report.
                                        • Elements differ in definition for mustSupport: 'true' vs 'false'
                                        • Element minimum cardinalities differ: '1' vs '0'
                                        ... issued Σ0..1instantDateTime this version was madeΣ0..1instantDateTime this version was made
                                          ... performer SOΣ0..*Reference(Practitioner (IPS) | PractitionerRole (IPS) | Organization (IPS) | CareTeam)Responsible Diagnostic Service
                                          ObligationsActor
                                          SHALL:populate-if-knownCreator (IPS)
                                          SHALL:handleConsumer (IPS)
                                          SHOULD:displayConsumer (IPS)
                                          Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam)Responsible Diagnostic Service.
                                          Slice: Unordered, Open by profile:$this
                                          • Elements differ in definition for mustSupport: 'true' vs 'false'
                                          ... resultsInterpreter Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam)Primary result interpreter
                                          Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam)Primary result interpreter
                                          Slice: Unordered, Open by profile:resolve()
                                            ... specimen 0..*Reference(Specimen (IPS))Specimens this report is based on
                                            0..*Reference(Specimen)Specimens this report is based on.
                                              ... Slices for result 0..*Reference(Observation)Observation results included in the diagnostic report.
                                              Slice: Unordered, Open by profile:resolve()
                                              C0..*Reference(Observation)results
                                                ... imagingStudy 0..*Reference(ImagingStudy)Reference to full details of imaging associated with the diagnostic report
                                                • Removed this element
                                                ... media Σ0..*BackboneElementKey images associated with this report
                                                Σ0..*BackboneElementAdditional data (like images, diagrams or documents) associated with this report
                                                  .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                    .... extension 0..*ExtensionAdditional content defined by implementations
                                                    0..*ExtensionAdditional content defined by implementations
                                                      .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                      ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                        .... comment 0..1stringComment about the image (e.g. explanation)0..1stringComment about the image or data (e.g. explanation)
                                                          .... link Σ1..1Reference(Media)Reference to the image sourceΣ1..1Reference(DocumentReference)Reference to the image or data
                                                          • Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/Media|4.0.1]]) vs Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/DocumentReference|5.0.0]])
                                                          ... conclusion 0..1stringClinical conclusion (interpretation) of test results0..1markdownClinical conclusion (interpretation) of test results
                                                            ... conclusionCode 0..*CodeableConceptCodes for the clinical conclusion of test results
                                                            Binding: ?? (example): Diagnosis codes provided as adjuncts to the report.
                                                            0..*CodeableConceptCodes for the clinical conclusion of test results
                                                            Binding: ?? (example): SNOMED CT Clinical Findings
                                                              ... presentedForm 0..*AttachmentEntire report as issued
                                                              0..*AttachmentEntire report as issued (pdf recommended)
                                                                ... note 0..*AnnotationComments about the diagnostic report
                                                                • Added this element
                                                                ... study 0..*Reference(GenomicStudy | ImagingStudy)Study subject to this report
                                                                • Added this element
                                                                ... supportingInfo 0..*BackboneElementAdditional information supporting the diagnostic report
                                                                • Added this element
                                                                ... composition C0..1Reference(Composition)Reference to a Composition resource for the DiagnosticReport structure
                                                                • Added this element

                                                                doco Documentation for this format